<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">uid</label>
            <div class="layui-input-block">
                <input type="text" name="uid" class="layui-input"  placeholder="请输入uid" value="{$row.uid|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">类型（1分销商，2陪玩）</label>
            <div class="layui-input-block">
                <input type="text" name="type" class="layui-input"  placeholder="请输入类型（1分销商，2陪玩）" value="{$row.type|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">提现金额</label>
            <div class="layui-input-block">
                <input type="text" name="money" class="layui-input"  placeholder="请输入提现金额" value="{$row.money|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">提现备注</label>
            <div class="layui-input-block">
                <input type="text" name="desc" class="layui-input"  placeholder="请输入提现备注" value="{$row.desc|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">状态（0待审核，1通过，2拒绝）</label>
            <div class="layui-input-block">
                <input type="text" name="status" class="layui-input"  placeholder="请输入状态（0待审核，1通过，2拒绝）" value="{$row.status|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">拒绝原因</label>
            <div class="layui-input-block">
                <input type="text" name="reason" class="layui-input"  placeholder="请输入拒绝原因" value="{$row.reason|default=''}">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>